Advanced Dentistry Of Summit, LLC
Durable Medical Equipment & Medical Supplies, Customized Equipment in Chatham, NJ. Organization (NPI-2).
NPI number1083910285
StatusActive
Last updated in NPPESSep 14, 2011
Details
- NPI
- 1083910285
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Dentistry Of Summit, LLC
- Organization subpart
- No
- Enumeration date
- Feb 4, 2011
- Last updated
- Sep 14, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | 22DI02372900 | NJ | Yes |
Other names
- Advanced Dentistry, LLC (Doing Business As)
Practice location
33 Main StSte. 101
Chatham, NJ 07928-2433
Phone 973-635-0626
Mailing address
33 Main StSte. 101
Chatham, NJ 07928-2433
Phone 973-635-0626
Authorized official
Corina Atanase
Dentist/Owner
9736350626
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